Individual
MS. JACQUELINE MARGARET SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
Mailing address
20100 SHAKER BLVD, SHAKER HEIGHTS, OH 44122-1875
(216) 751-3276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0009265
OH
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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